| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $194.86 | $252.90 | $485.41 | |
Cigna
| Professional | $199.98 | $199.98 | $363.85 | |
Providence
| Professional | $228.42 | $276.39 | $363.85 | |
United
| Professional | $300.98 | $332.54 | $462.03 |